Maintaining hemodynamic stability in the pediatric organ donor

Hemodynamically stable	Hemodynamically unstable
Methylprednisolone Levothyroxine OR triiodothyronine administration should be considered in this patient population Diabetes insipidus Desmopressin* Continuous infusion (preferred) Intermittent dose OR Vasopressin administered by continuous infusion	Volume loading with crystalloid or colloid Inotropic support Dopamine Dobutamine Epinephrine Phenylephrine Norepinephrine Methylprednisolone Bolus dose of levothyroxine followed by continuous infusion OR triiodothyronine infusion Diabetes insipidus Vasopressin administered by continuous infusion

* Desmopressin has a longer half-life than vasopressin. If desmopressin is used, it can be discontinued 2 to 3 hours prior to organ recovery to allow for its metabolism prior to the transplant procedure. Consultation with pediatric intensivists and transplant surgeons should occur to discuss preferences in pharmacologic agents used to maintain hemodynamic stability.

Graphic 91821 Version 2.0

خرید پکیج

Maintaining hemodynamic stability in the pediatric organ donor